万冬桂基于“阳化气，阴成形”治疗女性腺体结节经验介绍

介绍万冬桂教授基于“阳化气，阴成形”思想治疗女性腺体结节的临床经验。万冬桂教授认为，甲状腺、乳腺结节、子宫肌瘤、卵巢囊肿等常见女性腺体结节呈高度相关性，其发生的核心病机为阳化气不足，阴成形太过。提出温补阳气以疗其本，疏肝理气以治其因，化痰散瘀以顾其标为基本治法，随证加减。温补阳气常选金匮肾气丸、右归丸等化裁；疏肝理气常用柴胡、枳壳、郁金、香附等味；化痰散瘀常用瓜蒌皮-猫爪草-山慈菇角药以化痰，川芎、石见穿以化瘀，痰瘀胶着者，酌情加以虫类药物。常收良效。

Experience of WAN Donggui in Treating Female Glandular Nodules Based on Idea of"Yang Transforming into qi，While Yin Constituting Form"

Abstract： This paper introduces Professor WAN Donggui''s clinical experience in treating femaleglandular nodules based on the idea of "yang transforming into qi， while yin constituting form". ProfessorWAN Donggui believes that thyroid， breast nodules， uterine fibroids， ovarian cysts and other commonfemale gland nodules are highly correlated，whose core pathogenesis is insufficient transformation of yanginto qi， and qi constituting form too much. WAN puts forward the basic treatment of warming andsupplementing yang qi to cure its root，soothing the liver and rectifying qi to cure its cause，and dissolvingphlegm and dissipating stasis to treat the branch， and is modified according to different syndromes. Towarm and supplement yang qi，Jingui Shenqi Pills and Yougui Pills are often used and modified. To soothethe liver and rectify qi， Bupleuri Radix， Aurantii Fructus， Curcumae Radix and Cyperi Rhizoma are oftenused. To dissolve phlegm and dissipate stasis， triple medicine of Trichosanthis Pericarpium- RanunculiTernati Radix-Cremastrae Pseudobulbus Pleiones Pseudobulus are often used as to dissolve phlegm，andChuanxiong Rhizoma and Salviae Chinensis Herba are used to dissolve stasis；and if phlegm blended withstasis，worm medicinals are used as appropriate. The above treatment often leads to a great therapeuticeffect.